Klebsiella pneumoniae (Friedlander bacillus)

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Introduction

Gram negative bacilli.

Etiology

(risk factors)

Epidemiology

  • more common in males
  • antibiotic-resistant strain of Klebsiella pneumoniae infected 19 people (7 deaths directly attributable to Klebsiella) at the NIH Clinical Center in Bethesda, Maryland Aug 2011-Sept 2012

Pathology

Clinical manifestations

Laboratory

Radiology

Complications

Management

Comparative biology

More general terms

References

  1. Manual of Medical Therapeutics, 28th edition, Ewald & McKenzie (eds) Little, Brown & Co, 1995, pg 301
  2. Harrison's Principles of Internal Medicine, 13th ed. Companion Handbook, Isselbacher et al (eds), McGraw-Hill Inc. NY, 1995, pg 226-27
  3. Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 797
  4. 4.0 4.1 Lledo W et al Guidance for Control of Infections with Carbapenem-Resistant or Carbapenemase-Producing Enterobacteriaceae in Acute Care Facilities MMWR 2009 58(10);256-260 http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5810a4.htm
  5. Vastag B and Sun LH NIH superbug claims 7th victim Washington Post. Sept 14, 2012 http://www.washingtonpost.com/national/health-science/nih-superbug-claims-7th-victim/2012/09/14/09b3742e-fe9b-11e1-b153-218509a954e1_story.html
  6. Petrosillo N, Giannella M, Lewis R, Viale P. Treatment of carbapenem-resistant Klebsiella pneumoniae: the state of the art. Expert Rev Anti Infect Ther. 2013 Feb;11(2):159-77. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23409822
  7. 7.0 7.1 Band VI, Satola SW, Burd EM et al Carbapenem-Resistant Klebsiella pneumoniae Exhibiting Clinically Undetected Colistin Heteroresistance Leads to Treatment Failure in a Murine Model of Infection. mBio. 6 March 2018 vol. 9 no. 2 e02448-17 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/29511071 Free full text <Internet> http://mbio.asm.org/content/9/2/e02448-17.full
  8. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015